Hi, I'm an Ostomate. I know how you feel. I've been there. I'm one of a million Ostomates in North America who are leading normal happy lives. We have been given a second chance. We work, make love, have babies, take part in sports, travel and eat delicious food.

Printable Version - print this page and return with your cheque to the address at the bottom

 Membership Application

United Ostomy Support Group, Ottawa, Inc.

The following information is kept strictly confidential.  Membership is open to Ostomates, 

family members, medical and health care professionals, Ostomy Equipment suppliers and 

any other interested persons.

NAME:______________________________________ TELEPHONE:_______________________________

ADDRESS:______________________________________________________________________________

EMAIL ADDRESS:_______________________________________________________________________

Would you prefer to receive the newsletter by Email?       O Yes       O   No

   O  FULL MEMBERSHIP  $35.00   Includes one year's membership in the Ottawa Support Group, monthly newsletter, membership in UOA Canada Inc. and Issues of Ostomy Canada Magazine.

    O ASSOCIATE MEMBERSHIP  $20.00  Includes one year's membership in the Ottawa Support   Group, a  monthly  newsletter.

  CHECK ALL THAT APPLY:

 O new member  O renewing member   O colostomy   O urinary             O continent
                                                                                         diversion             urostomy

 O ileoanal pouch   O ileostomy      O continent ileostomy     O MD,ET, Supplier, Spouse

 O Male       O Female

  O I am unable to pay at this time, but would like to be a member.

How did you learn about UOSG?__________________________________________________________

ENCLOSED:  Yearly Membership Dues: $___________ Donations $ __________Total $____________

   Make Cheque payable and mail to:

        United Ostomy Support Group, Ottawa Inc.

        P. O. Box 11134, Station H,

        Nepean, ON  K2H 7T8

   TAX RECEIPTS WILL BE ISSUED FOR DUES AND DONATIONS.  OSTOMY CANADA MAGAZINE 

                             IS PRODUCED TWICE A YEAR, IN SPRING AND AUTUMN

Our organization survives on yearly dues and donations from members.  This money is used to publish and mail the Ottawa Ostomy News, which is sent out monthly for ten months to paid up members.  Dues are also sent to our parent organization UOAC which sends your magazine and does our national work.  As well, there are other expenses required to run the organization. 

A notification is sent out to members on the anniversary date when they joined.  Payment can be sent by mail to the treasurer or can be paid to the receptionist at the monthly meeting.